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IPAC RHTE# I7 5 `log —1ST Harnett County Department of Public Health 29602 Imarovement Permit A building permit cannot be issued with only an Improvement Permit �� 11 PROPERTY LOCATIOOF- 144.9 ISSUED TO wl't jjyg.�S 03 yo, 1. &t) Gs,e /) SUBDIVISION � V c— LOT # -3 L. NEW [ifV REPAIR ❑� EXPANSIOA ❑ Site Improvements required prio to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: z Projected Daily Flow: v (dam GPD Number of bedrooms: �0 Number of Occupants: max Basement ❑Yes 1v7 No Pump Required: ❑Yes ❑ No Ma required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Permit conditions: © Five years ❑ No expiration Authorized State d Date: —1 — 4 — F ':� SEE ATTACHED SITE SKETCH The issuance of this permit bytAe alth Department in no way guarantees the issuance of other permits. The permit holder is responsible Mr checking with appropriate governing bodies in meeting their requirements. This site is subject toorevocation it t e site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 arc incorporated by references into this permit and shall be met Systems shall be installed in xcordance with the attached system layout. ISSUED T0: PROPERTY LOCATIOOLJ 11 SUBDIVISIONAy—TTyAS� X A&k&jet< e LOT # Facility Type: New Expansion 11 Repair Basement? El Yes No Basement Fixtures? ❑ Yes M No Type of Wastewater System** 2ttta (Initial) Wastewater Flow: GPD (See note below, if applicable El) Z6a�b / LTr"%35 (Repair) Installation Re uirem n /Concludons Number of trenches Septic Tank Size 9 0 gallons Exact length of each trench 2le-3 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of: inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. caches above pipe inches total It applicable: / undeatand the system type sper✓hed is different from the type speciled on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authori ation shall not be transferred when there is a change in ownership of the site. Thu Lonswcuon Authorization is subject to compliance with the provisions of the Laws and Rubs for Sewage Treatment and Disposal and to the conditions of this permit )tit AI IALHtU lilt 1111 11.11 Authorized Stat ent Date: —4 l % Construction Authorization Expiration Date: --7 — Ln— Z'? HTE#%'—4'20%%S� Permit # -2Y�Z Harnett County Department of Public Health Site Sketch �T PROPERTY LOCATON:��Wy /—.5 ISSUED TO: 14J61- 46� SUBDIVISION AVkE�)S Llrla 44!PC LOT # �_ Authorized State Agel —� /`�?� `�� Date: �¢ _